Seo Ki-Soo, Han Hyo-Kyung
College of Pharmacy, Dongguk University-Seoul, Dongguk-ro-32, Ilsan-Donggu, Goyang 10326, Korea.
Research Institute, Dong Wha Pharm., Tapsil-ro-35, Giheung-gu, Yongin 17084, Korea.
Pharmaceutics. 2019 Jul 4;11(7):313. doi: 10.3390/pharmaceutics11070313.
The acid lability of rosuvastatin hinders the preparation of mixed combination formulations of rosuvastatin with acidic drugs such as clopidogrel. Therefore, the purpose of this study was to develop a multilayer-coated tablet that avoids physicochemical interactions between rosuvastatin and clopidogrel. Among the tested hydrophobic materials, glyceryl behenate was most effective at inhibiting the production of lactone, the acid degradation product of rosuvastatin. Therefore, the multilayer-coated tablet included a hydrophobic separation layer consisting of glyceryl behenate between the clopidogrel core tablet and the rosuvastatin coating layer. In order to prevent delayed dissolution by the stable hydrophobic separation layer, crospovidone was added into the clopidogrel core tablet as an effective disintegrant. Copovidone was also added to the coating layer of rosuvastatin, achieving a dissolution profile comparable to that of the reference drug, Crestor. The resulting multilayer-coated tablet exhibited similar pharmacokinetic profiles to those of reference drugs (Plavix and Crestor) in beagle dogs, and there was no statistically significant difference in the maximum plasma concentration (), the time to reach the maximum plasma concentration (), or the area under the plasma-concentration time curve () between the test and reference formulations. The storage stability tests showed that the amounts of acid degradation products and total impurities were comparable to that of the reference drug. In conclusion, the present study successfully developed a stable multilayer-coated tablet containing both clopidogrel and rosuvastatin that may improve the patient compliance in combination therapy for cardiovascular diseases.
瑞舒伐他汀的酸敏感性阻碍了其与酸性药物(如氯吡格雷)混合复方制剂的制备。因此,本研究的目的是开发一种多层包衣片,以避免瑞舒伐他汀与氯吡格雷之间的物理化学相互作用。在测试的疏水性材料中,山嵛酸甘油酯在抑制瑞舒伐他汀的酸降解产物内酯的产生方面最有效。因此,多层包衣片在氯吡格雷片芯和瑞舒伐他汀包衣层之间包含一个由山嵛酸甘油酯组成的疏水隔离层。为了防止稳定的疏水隔离层导致溶出延迟,在氯吡格雷片芯中加入交联聚维酮作为有效的崩解剂。共聚维酮也被添加到瑞舒伐他汀的包衣层中,使其溶出曲线与参比药物可定相当。所得多层包衣片在比格犬体内表现出与参比药物(波立维和可定)相似的药代动力学特征,受试制剂与参比制剂之间的最大血药浓度()、达最大血药浓度的时间()或血药浓度-时间曲线下面积()均无统计学显著差异。稳定性试验表明,酸降解产物和总杂质的量与参比药物相当。总之,本研究成功开发了一种同时含有氯吡格雷和瑞舒伐他汀的稳定多层包衣片,这可能会提高心血管疾病联合治疗中患者的依从性。